Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Hampshire for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Hampshire only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Hampshire (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

American Eyecare Express Inc. (NPI 1932231271)

Field	Value
Entity Type	Organization
Organization	American Eyecare Express Inc.
Address	96 Daniel Webster Hwy
City	Belmont
State	NH
ZIP	03220
Taxonomy	Optician
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$531.1K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2020	Frames, purchases	7,100	$20	$163.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	5,100	$30	$137.7K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	3,960	$20	$75.3K
92341	Code 92341 describes the fitting of eyeglasses of bifocal type, i.e., the lens has two separate areas of focus such as an area which gives best near vision and another area giving best far vision.	2,000	$40	$69.9K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1,730	$30	$45K
V2784	Lens, polycarbonate or equal, any index, per lens	5,330	$10	$26.6K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	860	$10	$9.5K
00000	N/A	100	$20	$1.8K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	110	$20	$1.8K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	20	$20	$260

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Hampshire Distribution

American Eyecare Express Inc. — 3 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2020	Frames, purchases	4	80	440	$20	$32K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	5	80	290	$30	$29.7K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	4	70	200	$20	$13.9K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2	20	90	$20	$10.8K
92341	Code 92341 describes the fitting of eyeglasses of bifocal type, i.e., the lens has two separate areas of focus such as an area which gives best near vision and another area giving best far vision.	1	20	70	$40	$9.5K
V2784	Lens, polycarbonate or equal, any index, per lens	6	80	360	$10	$7.9K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	7	50	110	$10	$4.5K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	2	10	90	$10	$2.1K
00000	N/A	3	10	80	$20	$1.8K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	3	10	20	$10	$1.3K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as American Eyecare Express Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lincare Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$1.5M
Convenientmd LLC	NH	Urgent Care Clinic/Center	$0	$921.9K
Shaker Regional School District	NH	Local Education Agency (LEA)	$0	$440.9K
Infocus Eyecare, Inc	NH	Optometrist	$0	$217.1K
Scott Krauchunas	NH	Optometrist	$27.4K	$136.9K
Town Of Belmont	NH	Land Ambulance	$101.4K	$41.6K
William Wilcox	NH	Acute Care Nurse Practitioner	$45.1K	$21.7K
Convenientmd - Ffs Uc LLC	NH	Urgent Care Clinic/Center	$0	$63.6K
Megan Mcgann	NH	Nurse Practitioner	$49.4K	$1.6K
Patricia Gallant	NH	Physician Assistant	$21.4K	$0

American Eyecare Express Inc. — Billing Profile & Reimbursement Data

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American Eyecare Express Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References